Step 1: Schedule an appointment
Step 2: Complete online paperwork
(first time patients only)
To become a BloomMed patient for membership OR a la carte services, please complete the online enrollment form below. Submission of a completed enrollment form generates an electronic medical chart and facilitates your first visit with us!
- Please collect your medical history information PRIOR to beginning the enrollment process to expedite submission.
- Entering a payment method is NOT required to complete the enrollment process. Patients are charged no fees until their first appointment at BloomMed.
- While not required, including your insurance information on your enrollment form facilitates arrangement of future lab, imaging and specialists referrals.